Cadaveric results of an accelerometer based, extramedullary navigation system for the tibial resection in total knee arthroplasty

Denis Nam, Christopher J. Dy, Michael B. Cross, Michael N. Kang, David J. Mayman

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Introduction: In total knee arthroplasty, the accuracy and precision of the tibial resection must be improved. The purpose of this study was to determine the accuracy and time associated with the use of an accelerometer based, extramedullary surgical navigation system for performing the tibial resection. Materials and methods: Four orthopedic surgeons performed a tibial resection utilizing the KneeAlign system, each on five separate, cadaveric tibiae. Each surgeon was assigned a preoperative "target" of varus/valgus alignment and posterior slope prior to each resection. The alignment of each resection was measured using both plain radiographs and computed tomography, along with the time required to use the device. Results: Regarding coronal alignment, the mean absolute difference between the preoperative "target" and tibial resection alignment was 0.77° ± 0.64° using plain radiograph, and 0.68° ± 0.46° using CT scan measurements. Regarding the posterior slope, the mean absolute difference between the preoperative "target" and the tibial resection was 1.06° ± 0.59° using plain radiograph, and 0.70° ± 0.47° using CT scan measurements. The time to use the KneeAlign for the fifth specimen was less than 300 s for all four orthopedic surgeons in this study. Discussion: This cadaveric study demonstrates that the KneeAlign system is able to accurately align the tibial resection in both the coronal and sagittal planes.

Original languageEnglish
Pages (from-to)617-621
Number of pages5
JournalKnee
Volume19
Issue number5
DOIs
StatePublished - Oct 2012

Keywords

  • Computer navigation
  • Osteoarthritis
  • Posterior slope
  • Tibial resection
  • Total knee arthroplasty

Fingerprint

Dive into the research topics of 'Cadaveric results of an accelerometer based, extramedullary navigation system for the tibial resection in total knee arthroplasty'. Together they form a unique fingerprint.

Cite this